How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | None | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.00 Median $2.09 Typical High $2.82 | Professional | None | $1.00 | $2.09 | $2.82 |
CareFirst Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | None | $0.36 | $0.36 | $0.36 |
Cigna Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Medcost Setting Facility Modifier None Typical Low $0.15 Median $0.15 Typical High $0.23 | Facility | None | $0.15 | $0.15 | $0.23 |
Medcost Setting Professional Modifier None Typical Low $0.47 Median $10.00 Typical High $10.00 | Professional | None | $0.47 | $10.00 | $10.00 |
Sentara Setting Facility Modifier None Typical Low $0.23 Median $933.25 Typical High $10,232.93 | Facility | None | $0.23 | $933.25 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $0.31 Median $0.32 Typical High $4,570.88 | Professional | None | $0.31 | $0.32 | $4,570.88 |
United Setting Professional Modifier None Typical Low $0.20 Median $0.26 Typical High $0.47 | Professional | None | $0.20 | $0.26 | $0.47 |
Where Virginia sits
The same service costs 24.5 times more in North Carolina than in Oregon. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 26th of 51
$0.20
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.